Irregular Period Specialist

Melissa Gutierrez, MD

Minimally Invasive Surgery & Obstetrics and Gynecology located in Beverly Hills, CA

Irregular and heavy periods can have a significant impact on your quality of life, and often indicate there’s an underlying gynecological problem. Melissa Marie Gutierrez, MD, FACOG, practicing in Beverly Hills, California, is a leading OB/GYN who has extensive experience in helping women affected by heavy, irregular periods and restoring them to health and happiness. Call Beverly Hills OB/GYN today to schedule a consultation, or book an appointment online.

Irregular Period Q & A

What are irregular and heavy periods?

Irregular periods are those in which the cycle, which normally would be at a regular interval of between 24 and 38 days, varies in length by more than seven to nine days. For example, one month you might go five weeks before having a period, the next you may only go three weeks, the following four weeks and so on, with no predictability.

Heavy periods are those in which:

  • Bleeding continues for more than seven days
  • Blood soaks through a sanitary pad or tampon every hour for several hours
  • You need to wear multiple pads or pads and tampons together to soak up the blood
  • You have to get up in the night to change your pad or tampon
  • Menstrual blood contains clots the size of quarters or larger

You may have either irregular periods or heavy bleeding, but many women experience both problems at the same time.

What causes irregular and heavy periods?

There are numerous possibilities why you may have irregular or heavy periods, including:

  • Uterine fibroids
  • Polyps
  • Adenomyosis
  • Irregular ovulation
  • Clotting disorders
  • Polycystic ovary syndrome (PCOS)
  • Taking blood thinning medication or aspirin
  • Using a copper intrauterine device (IUD)
  • Endometriosis
  • Pelvic inflammatory disease (PID)

Heavy bleeding during your period is possibly a sign of endometrial cancer, but most cases occur in women who are in their 60s and past menopause.

How are the causes of irregular and heavy periods diagnosed?

When you visit Dr. Gutierrez, she asks you about your symptoms, goes through your medical history, and carries out a physical exam. It’s useful for her to know how often you have periods, how long they last, how much you bleed, and any other symptoms you’ve experienced, which you can record on a smartphone app.

Dr. Gutierrez may need to carry out additional tests that could include:

  • Pregnancy test
  • Tests for sexually transmitted diseases (STDs)
  • Ultrasound scan
  • Hysteroscopy
  • Endometrial biopsy
  • Sonohysterography
  • Magnetic resonance imaging (MRI)
  • Computed tomography (CT)

Dr. Gutierrez may well take blood and urine samples for testing as well.

How are irregular and heavy periods treated?

Treatment for irregular and heavy periods varies depending on why you’re experiencing the problem, so diagnosing the exact cause is essential.

Medications such as hormonal birth control can help with heavy and irregular periods, reducing menstrual flow and even stopping blood loss completely in some cases. Gonadotropin-releasing hormone (GnRH) agonists may help treat fibroids and reduce menstrual bleeding for up to six months.

Another medication Dr. Gutierrez may prescribe for heavy periods is tranexamic acid. You may need antibiotics if you have an infection or drugs to help your blood to clot if you have a clotting disorder.

If medications aren’t working or aren’t appropriate in your case, Dr. Gutierrez can also use surgical procedures such as:

  • Uterine artery embolization (UAE)
  • Myomectomy
  • Hysteroscopy
  • Endometrial ablation

If you’re suffering from heavy or irregular periods or any other menstrual problems, call Melissa Marie Gutierrez today, or book an appointment online.